| NPI | 1255602108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 21495) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661809) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2023-04-20 |